BOSTON MOUNTAIN RURAL HEALTH CENTER, INC – NPI #1174064455
Clinic/Center

BOSTON MOUNTAIN RURAL HEALTH CENTER, INC is an AHC clinic located in HOLIDAY ISLAND, AR. NPPES has assigned the NPI number 1174064455 to BOSTON MOUNTAIN RURAL HEALTH CENTER, INC on March 20, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 7 years ago on Jan 28, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOSTON MOUNTAIN RURAL HEALTH CENTER, INC below.

NPI Profile for
BOSTON MOUNTAIN RURAL HEALTH CENTER, INC

NPI Number
1174064455
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Primary location
1 PARK DR
SUITE C
HOLIDAY ISLAND, AR 72631-9216
Phone: (870) 448-5101 Fax:
Mailing address
PO BOX 1060
MARSHALL, AR 72650-1060
Phone: (870) 448-5101 Fax:
Organization Subpart
No
Authorized Official
DEBBIE ACKERSON
CEO
Phone: (870) 448-5733
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.